NPIMap

Organization Active NPI

Dominion 1 Dental Group PLLC

  • Dentist
  • Arlington, TX
National Provider Identifier
1346792041
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19153 Issued in TX
Legal business name
DOMINION 1 DENTAL GROUP PLLC
Practice address
801 W Park Row Dr
Arlington
Arlington, TX 76013-3904
Phone
(817) 784-7888
NPI assigned
Oct 28, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hanan ElsaieNPI 1598058950
Title
Owner
Phone
(214) 901-8319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19153 TX Primary

Addresses

Primary practice location

801 W Park Row Dr
Arlington
Arlington, TX 76013-3904

Mailing address

801 W Park Row Dr
Arlington
Arlington, TX 76013-3904
Phone (214) 901-8319

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1346792041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "address_2": "ARLINGTON",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "214-901-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "address_2": "ARLINGTON",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "817-784-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION 1 DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ELSAIE",
        "authorized_official_first_name": "HANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-901-8319",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.